Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1154743979 |
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| LBN Legal business name | MEDCARE LLC | ||||||||||||||||
| Authorized official | JOANN KARGUL - (PRESIDENT) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||
| Enumeration date | 01/14/2014 | ||||||||||||||||
| Last updated | 01/16/2014 - About 12 years ago | ||||||||||||||||
| Identifiers |
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